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Thanh Pho Thai Binh, Vietnam

Webber G.,University of Ottawa | Spitzer D.,University of Ottawa | Somrongthong R.,Chulalongkorn University | Dat T.C.,Thai Binh Medical University | Kounnavongsa S.,National University of Laos
Globalization and Health | Year: 2012

Background: The purpose of the research was to assess access to sexual and reproductive health services for migrant women who work as beer promoters. This mixed methods research was conducted in Phnom Penh, Cambodia, Bangkok, Thailand, Vientiane, Laos, and Hanoi, Vietnam during 2010 to 2011.Methods: Focus groups were held with beer promoters and separate focus groups or interviews with key informants to explore the factors affecting beer promoters' access to health care institutions for reproductive health care. The findings of the focus groups were used to develop a survey for beer promoters. This survey was conducted in popular health institutions for these women in each of the four Asian cities.Results: Several common themes were evident. Work demands prevented beer promoters from accessing health care. Institutional factors affecting care included cost, location, environmental factors (e.g. waiting times, cleanliness and confidentiality) and service factors (e.g. staff attitudes, clinic hours, and availability of medications). Personal factors affecting access were shyness and fear, lack of knowledge, and support from family and friends.The survey of the beer promoters confirmed that cost, location and both environmental and service factors impact on access to health care services for beer promoters. Many beer promoters are sexually active, and a significant proportion of those surveyed rely on sex work to supplement their income. Many also drink with their clients. Despite a few differences amongst the surveyed population, the findings were remarkably similar across the four research sites.Conclusions: Recommendations from the research include the provision of evening and weekend clinic hours to facilitate access, free or low cost clinics, and health insurance through employer or government plans which are easy to access for migrants. Other improvements that would facilitate the access of beer promoters to these services include increased funding to hire more staff (reducing waiting times) and to stock more needed medications, mobile clinics to come to the workplace or free transportation for beer promoters to the clinics, improved training to reduce health care provider stigma against beer promoters, and public education about the importance of reproductive health care, including preventative services. © 2012 Webber et al.; licensee BioMed Central Ltd.

Quyen B.T.L.,Thai Binh Medical University | Mai D.N.,Institute of Physics | Lan N.T.,Institute of Physics | Viet N.A.,Institute of Physics
Journal of Physics: Conference Series | Year: 2015

It is well known that from four fundamental forces, only electro-magnetic force plays clear and important role in our life reality. The spin one exchange boson caring the electromagnetic interaction is photon. The condition of zero-mass of photon leads to the Coulomb law with long-range interaction behavior. We consider analogy Anderson-Higgs mechanism, in some liquid water environments at a certain temperature, photon can have a finite effective mass, consequence to a Yukawa type potential. This screening potential could leads to sort-range behavior of electro-magnetic effective interaction. We use this mechanism to develop physics models to explain some phenomena in life and soft systems. © Published under licence by IOP Publishing Ltd.

Webber G.C.,University of Ottawa | Spitzer D.L.,University of Ottawa | Somrongthong R.,Chulalongkorn University | Dat T.C.,Thai Binh Medical University | Kounnavongsa S.,National University of Laos
Asia-Pacific Journal of Public Health | Year: 2015

Migrant beer promoters in Cambodia, Laos, Thailand, and Vietnam were surveyed to determine their experiences in accessing reproductive health care services in the cities of Phnom Penh, Vientiane, Bangkok, and Hanoi. A total of 7 health care institutions were chosen as popular with migrant beer promoters. Staff at these institutions provided information on the institution, and 390 beer promoters were surveyed about their experiences while accessing services. There were discrepancies between findings from the staff interviews and the experiences of the beer promoters. In general, the migrant women were satisfied with the cost, location, friendliness of the health care providers, and knowledge and skills of the providers. They were less positive about confidentiality and waiting times, though many still agreed that these were not an issue. Health care planners and providers should take note of the issues affecting access to reproductive health care services for migrant women when they design and implement services. © 2012 APJPH.

Chu Q.D.,Louisiana State University | Chu Q.D.,Feist Weiller Cancer Center | Nguyen T.,Thai Binh Medical University | Nguyen P.,Vietnam Education Foundation | Ho H.S.,University of California at Davis
International Surgery | Year: 2012

"Twinning" refers to a constructive partnership between hospitals in developed and developing nations. Such an effort may contribute immensely to capacity building for the developing nation, but one of the reasons given for the lack of sustainability is cost.We share a detailed operating cost analysis of our recent experiencewith an institution in Vietnam. We were awarded a 1-year $54,000 grant from the Vietnam Education Foundation (VEF) to conduct a live tele-video conferencing course on the "Fundamentals of Clinical Surgery" with Thai Binh Medical University (TBMU). In-country lectures as well as an assessment of the needs at TBMU were performed. Total financial assistance and expenditures were tabulated to assess up-front infrastructure investment and annual cost required to sustain the program. The total amount of direct money ($66,686) and in-kind services ($70,276) was $136,962. The initial infrastructure cost was $41,085, which represented 62% of the direct money received. The annual cost to sustain the program was approximately $11,948. We concluded that the annual cost tomaintain a "twinning" program was relatively low, and the efforts to sustain a "twinning" program were financially feasible and worthwhile endeavors. "Twinning" should be a critical part of the surgical humanitarian volunteerism effort.

Le D.-C.,University of Occupational and Environmental Health Japan | Le D.-C.,Thai Binh Medical University | Pham T.-M.,University of Occupational and Environmental Health Japan | Fujino Y.,University of Occupational and Environmental Health Japan | And 3 more authors.
Tohoku Journal of Experimental Medicine | Year: 2010

Breast cancer is one of the leading causes of death among women in Japan. Its mortality rate has been increased in recent years. However, there has been no study examining the changes in premature mortality in Japanese women. In the present study, using two health indicators, years of life lost (YLL) and average of years of life lost (AYLL), we estimated the premature mortality due to breast cancer in Japan during the period from 1995 to 2006. YLL indicates how many years that life of a patient was shortened with the presence of cancer, and AYLL provides an average loss of expected years of life among these deceased persons. Results showed an increase in total YLL due to this condition from 204,840.6 years in 1995 to 255,046.9 years in 2006. In each calendar year, YLL remained the highest in the group aged 50-59 years, accounting for 32%-36% of annual YLL. In contrast, we found a decrease in AYLL of breast cancer from 26.4 years in 1995 to 22.8 years in 2006; namely, breast cancer patients who died in 2006 lived an average 3.6 years longer than those who died in 1995. In conclusion, we show the decrease in AYLL of breast cancer deaths, despite the increase in total numbers of annual YLL during the study period. Thus, women with breast cancer have benefited from postponement of the deaths in 2006, compared to those in 1995, which may be related to the improvements in medical health care or appropriate prevention. © 2010 Tohoku University Medical Press.

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